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General NPI Number Information
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NPI Number | 1891055299
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Entity Type | Organization
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Legal Business Name | CENTRAL ARKANSAS VETERANS HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 4300 W 7TH ST ATTN: 118LR/WOCN
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-5900
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Fax | 501-257-1549
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Provider Business Mailing Address
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Address Line | 4300 W 7TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-5900
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Fax | 501-257-1549
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Authorized Official
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Title or Position | APN-C, CWOCN
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Name | MRS. KAREN JEANNE BARIS
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Credential | APN
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Telephone | 501-257-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A03695
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A03695
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License Number State | AR
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